콧방울 Alar

Forty-one patients undergoing Le Fort I osteotomy for superior and/or anterior repositioning of the maxilla were prospectively studied for changes in soft-tissue morphology of the nasomaxillary region. Nasal parameters studied were changes …

For initial reconstruction, Dr. Burget suggests that he would have advanced the cheek flap medially toward the nasal septum and, subsequently, reconstructed the missing right half of the nose with a forehead flap and cartilage grafts. Dr. P…

A comprehensive operation for primary repair of adult cleft lip is described. The technique employs pyriform fossa bone graft, submucosal resection of the nasal septum and alar cartilage onlay graft in addition to a modified rotation advanc…

Auricular composite grafts are being used increasingly for repair of nasal deformities. Most commonly these grafts have been employed to repair alar rim and columellar defects secondary to trauma or tumor resection. A technique for reconstr…

The unilateral cleft lip nasal deformity is corrected as a primary procedure with the lip repair. The abnormal attachment of the alar base is first released by an incision along the superior buccal sulcus and piriform margin. There is no in…

This paper describes a new technique for reconstructing the nasal ala or the tip of the nose. It is useful for defects that are too large for closure with composite grafts and gives a good aesthetic result as there are no visible scars. An …

The results of a cleft lip operation are checked from the anterior, the profile, and the caudal views and even if the deformities are minimal, for aesthetic reasons they should be repaired. Philtrum length, philtrum shape, philtrum depth, n…

Reconstruction of the continuity of the orbicularis oris is the main component in correction of the whistling deformity. However, many of the cases are associated with other deformities, such as conspicuous lip scars, an unnaturally wide ce…

The naso-ocular cleft is a rare defect; however, isolated alar clefts with or without additional hamartomatous local tissue are an even rarer problem. The authors describe six unilateral and one bilateral cleft patients who were all initial…

Important principles for repair of bilateral complete cleft lip are symmetry, primary orbicularis continuity, proper prolabial size and shape, median tubercle and mucocutaneous ridge formation from lateral lip tissue, and early construction…

Rhinophycomycosis entomophthorae is a rare tropical granulomatous infection caused by the fungal organism Entomophthora coronata. The disease arises as a submucosal granuloma, usually in the region of the inferior turbinate, spreads centrif…

161 patients treated with septoplastic operations for nasal stenosis were examined 25-64 months postoperatively. Surgery was inadequate in 32 cases (20%); in 23 this was due to the septum operation itself, in 9 to unsatisfactory or no corre…

The stair-step flap is a simple one-stage replacement of alar tissue with excellent viability, minimal "biscuiting" and notching, and good color and texture match. While not replacing other techniques of alar repair, it appears to be a sign…

A considerable number of procedures have been described for secondary improvements of the lip. They involve the scars, the Cupid's bow, the philtrum, the alar base, the vestibulum and the columella. In fact, these procedures may give a good…

Free periosteal grafting of the maxillary cleft in adolescents is an alternative, simplified method of reconstructing secondary maxillary cleft deformities, particularly the sunken nostril sill. The historical background of bone grafting, p…

The nasal deformity in the cleft lip patient is produced by the lower lateral cartilage being subluxed inferiorly and laterally, which falsely lengthens the nose on the cleft side. The columella is not short. It simply extends laterally to …

An upper lip reconstructive technique using advancement of the lateral part of the upper lip with excision of peri-alar skin has been resurrected and modified. It is useful when partial-thickness lip tissue is required in the nostril area a…

Tennison presented his method for the repair of the single cleft. He was the first to recognize and to preserve the cupid's bow by lowering the peak in the margin of the cleft. He incised the medial side of the cleft and filled the space wi…